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作者在处理急性血管内溶血的过程中,发现这类病人胰腺炎并发症明显增加.为确定急性溶血与胰腺炎之间可能的因果关系,作者对40例不同原因的急性溶血患者进行了回顾性研究。这些患者包括自身免疫性溶血10例,酸中毒9例,微血管病性溶血性贫血9例、类感染6例、Wil-son 氏病3伪、G-6-PDH 缺陷2例及低磷血症1例,其12小时血细胞比容下降>12%。除出现无结合珠蛋白血症、血红蛋白尿、血清胆红素及血网织红细胞计数升高外,15例(38%)患者血清淀粉酶升高超
In dealing with acute intravascular hemolysis, the authors found a significant increase in complications of pancreatitis in these patients.To determine the possible causal relationship between acute hemolysis and pancreatitis, the authors reviewed 40 patients with acute hemolysis of various causes the study. These included 10 cases of autoimmune hemolysis, 9 cases of acidosis, 9 cases of microangiopathic hemolytic anemia, 6 cases of infection, 3 pseudo Wil- son’s disease, 2 cases of G-6-PDH deficiency and hypophosphatemia One case had a> 12% reduction in hematocrit at 12 hours. In addition to the presence of unconjugated haemolytic disease, hemoglobinuria, serum bilirubin and reticulocyte count increased, 15 (38%) patients with elevated serum amylase